| NPI | 1205011467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129007) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-03-30 |